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BIOUNCERTAINTY - ERC Starting Grant no. 805498

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Wartości, zaufanie i podejmowanie decyzji w zakresie zdrowia publicznego

Wartości, zaufanie i podejmowanie decyzji w zakresie zdrowia publicznego

Projekt badawczy "Wartości, zaufanie i podejmowanie decyzji w zakresie zdrowia publicznego" finansowany w ramach konkursu POLONEZ BIS 2, współfinansowanego przez Komisję Europejską i Narodowe Centrum Nauki w ramach grantu Marie Skłodowska-Curie COFUND. Kierownik projektu: dr Elena Popa

Podstawowe informacje

  • Tytuł projektu: Wartości, zaufanie i podejmowanie decyzji w zakresie zdrowia publicznego (Values, Trust, and Decision Making in Public Health)
  • Czas trwania: 1 listopada 2022 - 31 października 2024
  • Kierownik projektu: dr Elena Popa (elena.popa@uj.edu.pl)
  • Opiekun naukowy: dr hab. Tomasz Żuradzki, prof. UJ

Opis popularyzatorski

Questions whether science should be value-free, or whether value influences are inevitable have been an important topic of investigation in the philosophy of science. Values in this sense can be social, political, ethical, or economic. Despite these debates, the question how decisions by scientists can propagate structural injustices and inequality has received little philosophical attention so far. In the context of public health, the COVID-19 pandemic has brought this problem into the spotlight. Public health decisions do not affect everyone equally, and can inflict harm on those in precarious economic conditions, through unemployment, diminished access to education or other medical services etc. With the availability of vaccines, the COVID- 19 context has highlighted another related issue: that of trust in science. Low levels of trust in science and, more broadly, in institutions have been correlated with lower levels of compliance with recommendations by scientists or the authorities. Explanations of vaccine hesitancy in terms of a crisis of trust further highlight the need to consider justice and equity in order to improve the outcomes of public health decisions.

This project approaches this problem from a philosophical perspective. I will provide two arguments for the incorporation of justice and equity in public health decisions in conditions of uncertainty, and also more broadly, in connection to trust. Another argument will look at questions of evidence: in order to incorporate information about vulnerable or marginalized groups in scientific models, knowledge about the said groups is needed. Thus, more diverse methods and sources of evidence are required, to shed light onto previous blind spots. I will then apply this framework to two cases in public health: vaccine hesitancy and maternal and child health. Regarding the former, I will argue that adopting a framework where values are transparent and justice and equity are prioritized can help address vaccine hesitancy, by increasing trust. Regarding the latter, I will argue against contemporary tendencies of conceptualizing fetal health as the mother’s individual responsibility. As an alternative, I will argue that a framework of values including justice can highlight the need to address environmental degradation and its effects nutrition, as well as the need for further social support for mothers that are disproportionately affected by this. These cases will serve as illustrations of my overall claim that scientists should opt for approaches leading to more equitable outcomes for the people concerned, or, when this is impossible, supplement their recommendations with measures that address resulting inequalities.

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Recent publications

Nowy artykuł współautorstwa Eleny Popy

Nowy artykuł współautorstwa Eleny Popy

Elena Popa, pracowniczka INCET, opublikowała wspólnie z Jakubem Zawiłą-Niedźwieckim oraz Michałem Zabdyrem-Jamrózem nowy artykuł: "Policy change without ethical analysis? Commentary on the publication of Smajdor” w czasopiśmie Theoretical Medicine and Bioethics. Artykuł jest rezultatem projektu Wartości, zaufanie i podejmowanie decyzji w zakresie zdrowia publicznego.
więcej o Nowy artykuł współautorstwa Eleny Popy
Nowy artykuł autorstwa Eleny Popy

Nowy artykuł autorstwa Eleny Popy

Elena Popa opublikowała nowy artykuł: "Loneliness as Cause” w czasopiśmie Topoi. Artykuł jest rezultatem projektu Wartości, zaufanie i podejmowanie decyzji w zakresie zdrowia publicznego.
więcej o Nowy artykuł autorstwa Eleny Popy

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  • ‘Mechanisms, Activities, and Biopsychosocial Causation’, Romanian-Polish Workshop in Causation, Understanding, and Knowledge: New Perspectives and Challenges, November 20, 2023, University of Bucharest [invited] (online).

  • ‘Causality, Evidence, and Local Psychiatric Knowledge: A Case for Pluralism’, Sowerby Workshop on Causation and Evidence in Medicine and Public Health, November 2-3, 2023, King's College London, UK.

  • ‘Causality, Evidence, and Local Psychiatric Knowledge: A Case for Pluralism’, Annual Bergen Philosophy of Science Workshop, October 19-20, 2023, University of Bergen, Norway [invited].

  • ‘Metaphysics, Justice, and Global Perspectives on Mental Health’, Mental Health and Normativity: Metaphysics and (in)justice, October 5-6, 2023, University of Granada, Spain.

  • 'Understanding as Perspective Taking in the Context of Artificial Intelligence' (with R. David- Rus), The 9th Biennial Meeting of the European Philosophy of Science Association, 20-23.09.2023, Belgrade, Serbia [poster].
  • ‘Trustworthy Science: Lessons from Feminist Epistemology’The 4th Lisbon International Conference of Philosophy of Science, July 12-15 2023, University of Lisbon, Portugal.
  • ‘Mechanisms, Activities, and Biopsychosocial Causation’Mechanisms and Ontic Causation in Life Sciences, June 15-16 2023, University of Louvain, Belgium.
  • ‘Values in Public Health: An Argument from Trust’10th International Philosophy of Medicine Roundtable, June 8-9, 2023, University of Bologna, Italy.
  • ‘Causal Structure, Values, and Variable Choice: Insights from Pragmatism and Feminist Epistemology’Ernst Mach Workshop XI 2023: Causation – Structure, Models and Realism, May 23-24, 2023, Czech Academy of Sciences, Prague, Czech Republic.
  • 'Legitimate Distrust and Values in Public Health’Rethinking Policy, Expertise, and Trust, March 23-25, University College Dublin, Ireland.

  • Interview for the ‘Loneliness and You’ podcast (with Axel Seemann).
  • Models of mental health and illness: philosophical perspectives workshop

    The workshop aims to start a conversation regarding the biomedical, the biopsychosocial, and the humanist model of health and disease and their importance for psychiatry. The topic is important because the biomedical model has been criticized for its narrow focus on biological or biochemical aspects of mental disorders and negelcts social or psychological interventions. At the same time, alternatives like the biopsychosocial and humanist model have been criticized for their vagueness and failure to provide relevant interventions. The goal of introducing this models is not to find a solution to these controversies, but, rather, to identify tensions and points of convergence between these approaches to medicine and how they relate to practice.

    The workshop has been organized in collaboration with the Association of Trainee Psychiatrists from Romania.

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Badania realizowane w ramach projektu nr 2021/43/P/HS1/02997 współfinansowanego ze środków Narodowego Centrum Nauki oraz programu ramowego Unii Europejskiej w zakresie badań naukowych i innowacji Horyzont 2020 na podstawie umowy nr 945339 w ramach działań „Marie Skłodowska-Curie”.

Akronim: HealthJustice